HomeMy WebLinkAbout2059 Stoney Hill Ct - Applications/Reroof - 08/16/2012Sie }fear: r"EUGtGE.'.
Aua.i6. 2012 5:54PM ADVANCED ROOFING
City of .
ns
Planningf Development & Tra .Q�, A ion P. 1
281 N. Coi!ec2 ,Ave P, -�, 3cx 580
Fort Coillns, CO 80524
Phone 970-416-2740 Fax 224.5134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the 60110wing permits only (check ail that apply). El Air Conditioning
0,Dernaiit!On (interior EJ 'feCi, ICal AltaratlCn (r1Gi service chance) ❑ r^.2.C' ightar �--, Gas Log
IJ Heating Unit iT Lawn -Sorinkier U WiObi!e ^iom& rep acc-Trani —''�roorirlg .J '� "Ver iJne L i hoto-voltaic
❑ Ventifation ❑ Watsr water +, Water Line � ;, Wocd/-sifet Stove (must be =?A cemH:--.c, Provide make, mode! and
-Manufacturer).
Complete all applicable information on the applicaticn. Inc-ompleta application will not be accept=(.
Appkzt� on �)�a ��3 Date s
Poi 017 ce use only —
'-..+-.. :z;P=h/{iV6ro�55 /.or"d'r!' I ii__-.
as.::f=O �uraa: it 'i% icy ah
crepe ty Owner Name
Ac'cre ,
C y/St??e 7;0
Phone 70
A;:,OIIC3nt 1142m2
.4?dress
C;N/ '_ta i
awC Z;p
Phone ^��`�
Centre -or Lc Y
Add; ess
c; -vrs wte i,
Phone
ContC Cr City of ,_; Collins 521es Tax
= e you payfng axes here Cr by r epcffl
0 Her C; Repot
ies�xnur bs-are�urr=d�yenmr, cvr;
" e you PFyirg wife your t!?st ac--:urt�
Yes J No
`�i G/
oC7jCo
is this a residenta( or can-nerczl projer:? R-'GI4�'n cl d CCm„tAr a!
Ii r,_=idEnta(; s d; 'Single'Famiiy DetachEf; 'C CondO/tawn4em (single `amify ac' c e?} L Duplex
C} Mult;faniiy (apa ens) 0 Garage
if co,=Iertal, is it: ❑ 5znk E' Bar ❑ Church El Hct2!/Motel ❑ Medic:! once ❑' Crce ❑ ?e.af(
� Ras�ur?nt ❑ C,",er (axrfcin)
is this building. 50 years of age or rno,e? ❑ yes CBINo Ifyes, youi,zyneed'taPreser1aJ'C1-
U this is fcr a demolition permit, what yE2r w2s ,i re building CDn�'r•,iCcG'%
fi �rGr to 1975, you w7I1 nea an d5[`IaS:?c ?cr�e5r�E.^,C tO 3U%Jr1-2%t WMI
of work'
*if fcwr. 5P6k;=_r/ta6:f10V1 yr2Vcnteri this-, iisz 1jca-n'Se? plumber, If drat-t(me ,jc, r ,usl IISC iicansec 2ie—c rician.
S tl bCOntiactors: Ls ere cor,Nany nave or cit/ cry cdlrns ric_nse ,�
1I
t 12Cr:c'IC?I K�Ci" l(il -+
I nerdy ad-novll�'cE t',at 1 r Zve iecd tMt ?pcilc7rjCn and 3:d�e y ai :n2 c'CG�2 Ir,i Gi '1cQOi i :5 cIc:2 and Cor72,:�L. 1 aQreE t0
Carncly witli,all r?ti•Uir27 n CPr:[,iner i 2r2if; and ci51 Crdin2r.C2S er:d -= !ay;,s rasulzting buffdinC tcn5u �C lOri I: know that a
permit is nct •rajid until it has been paid and issued,
Prrt Nar,.e l� t , l�ii�f u �� l� Sign2.tur� `:,�� tgI/ ✓f Cate (�-